MICHIGAN DEPARTMENT OF STATE Lansing, MI 48918
Clear Form
Special Mailing of Certificate of Title
As the owner of the vehicle or watercraft described on the accompanying title application, I direct the Michigan Department of State to mail or release my new title to the party listed on this form. I understand that if this party is a lienholder, any duplicate title will also be sent to the lienholder until the lien is terminated.
Mail or Release Title To:
Name Street Address City State Zip
Description of vehicle or watercraft as shown on application:
_X_________________________________
Signature of Owner
Year
Make
Vehicle Identification No.
TR-114 (5/95)
Authority granted under P.A. 300 of 1949 as amended